None listed
Conditions
Brief summary
Young people with Type 1 diabetes are at greater risk of mental health problems and poor psychological wellbeing than their counterparts without diabetes. Young people are high users of mobile and internet-technology, and increasingly use these tools for health information and support. The project’s primary objective is to test the hypotheses that psychological well-being will be significantly improved, and that symptoms of psychological (i.e., depression, anxiety and stress) and diabetes-related distress will be significantly reduced, in participants who use a mobile phone and web-based mental health intervention, myCompass, for seven weeks compared with those in a placebo control group. The project’s secondary objective is to test the hypothesis that diabetes self-care, work and social functioning, glycaemic control (glycosylated haemoglobin, HbA1c), and quality of life will be significantly improved for participants who receive the myCompass intervention.
Interventions
Participants randomised to the intervention condition will have full use of a freely available mobile phone and web intervention called 'myCompass' for seven weeks. The intervention has been developed as a self-help intervention with no therapist input for people with mild-to-moderate levels of depression, anxiety and stress. The intervention allows participants to: (a) monitor moods, symptoms and/or behaviours (e.g. physical activity, depression, anxiety, irritability, sleep, alcohol use, user-defined health signs); (b) schedule short message service (SMS) or email self-monitoring reminders; (c) receive and print graphical feedback about monitoring which is presented alongside meaningful contextual information (i.e., where they were, what they were doing and who they were with at the time of rating); and (d) receive helpful facts, mental health-care tips or motivational statements by SMS or email. In addition, myCompass offers a number of psychological modules for users to complete via the internet. Modules derive from Cognitive Behaviour Therapy, as well as Interpersonal Psychotherapy, Problem Solving Therapy and Positive Psychology, and cover topics such as Solving Problems, Managing Fear and Anxiety, Tackling Unhelpful Thinking, Managing Loss and Major Life Change. Each module comprises three 10-minute sessions and has practice tasks assigned. Participants may use (or not use) the intervention at their discretion.
Sponsors
Study design
Eligibility
Inclusion criteria
* Have at least mild diabetes-related distress, as measured by the Diabetes Distress Scale, and/or * Have at least mild depressive symptoms, as measured by the Patient Health Questionnaire, PHQ-9; and * Be aged 16 to 25 years; * Have T1D diabetes, diagnosed by an endocrinologist; * Have access to an internet-enabled mobile phone and computer/tablet; and * Provide informed consent.
Exclusion criteria
* Inability to read English with ease; * Severe mental health problems (i.e., psychotic symptoms); * Non-residence in Australia; and * Previous experience with the myCompass program.